Individual
SABINE ALTIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S WILLAMAN DR APT 106, LOS ANGELES, CA 90048-3944
(678) 591-0342
Mailing address
425 S WILLAMAN DR APT 106, LOS ANGELES, CA 90048-3944
(678) 591-0342
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06210112
CA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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